Provider Demographics
NPI:1366011348
Name:LARRY J MORAY DDS, MS, PA
Entity Type:Organization
Organization Name:LARRY J MORAY DDS, MS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:JOEL
Authorized Official - Last Name:MORAY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS, PA
Authorized Official - Phone:919-928-5852
Mailing Address - Street 1:1717 LEGION RD STE 203
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2396
Mailing Address - Country:US
Mailing Address - Phone:919-240-7280
Mailing Address - Fax:919-240-7316
Practice Address - Street 1:1717 LEGION RD STE 203
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2396
Practice Address - Country:US
Practice Address - Phone:919-240-7280
Practice Address - Fax:919-240-7316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-23
Last Update Date:2021-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty